Cohere Health

Healthcare

PaymentTrainingManager

$115–165k ~AI est. United States Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Manager candidates.

The Brief

“Payment Training Manager at Cohere Health. Skills: Payment training, Audit accuracy, Coding guidelines. Translate complex clinical and coding audit concepts into. Partner with QC Analyst to isolate systemic auditor”

What You'll Achieve.

Drive accuracy; Reduce variance; Maintain audit excellence; Improve quality; Improve productivity; Improve decision-making accuracy; Improve functionality; Improve audit efficiency

Industry & Context.

Healthcare
Problems you'll solve

Isolate knowledge gaps; Remedial education updates; Targeted education

What They're Looking For.

Must Have

8+ years of overall experience in medical coding, claims auditing, payment integrity, or healthcare reimbursement, Expert knowledge of CPT, HCPCS, ICD-10-CM, modifiers, medical necessity, and reimbursement methodologies, Deep understanding of outpatient claims coding and auditing for Commercial, Marketplace, Medicare, and Medicaid lines of business, Hands-on experience reviewing programs such as HCD, DME, SNF, HH, E flexible spending and health savings account

Nice to Have

CCS credential

What You'll Do.

Translate complex clinical and coding audit concepts into

Partner with QC Analyst to isolate systemic auditor

Convert QC error trends into targeted

Work with Concept Developers to build training for

Conduct live virtual training sessions and workshops for

Measure training impact by tracking post-education QC accuracy

Build interactive training materials for both onboarding and

and actionable feedback to auditors

Drive adoption and effective utilization of Cohere Validate

Provide actionable feedback and enhancement recommendations to improve

Demonstrate flexibility in using integrated audit technologies

Stay ahead of industry trends

Adhere to HIPAA and company policies to ensure

How You'll Work.

Team & Collaboration

Partner with QC Analyst; Work with Concept Developers

Communication Scope

Actionable feedback

Full Job Description

Opportunity Overview: We are seeking a versatile and highly skilled Payment Training Manager to join our dynamic Payment Integrity team. This critical role translates Quality Control (QC) feedback and concept development insights into actionable high-impact training programs for our medical audit team to drive accuracy and reduce variance. Ideal candidates should possess a CCS credential, expert knowledge of CPT, HCPCS, and ICD-10-CM/PCS coding guidelines, and a passion for detailed analytical auditing, play a key role in delivering accurate reimbursement solutions and maintaining audit excellence. The ideal candidate is self-motivated, thrives in a remote and fast-paced environment, and is committed to precision, compliance, productivity, and continuous learning within a high-growth organization. What You'll Do: Translate complex clinical and coding audit concepts into structured training modules. Partner with QC Analyst to isolate systemic auditor knowledge gaps. Convert QC error trends into targeted, remedial education updates. Work with Concept Developers to build training for new audit ideas. Conduct live virtual training sessions and workshops for auditing staff. Measure training impact by tracking post-education QC accuracy scores. Build interactive training materials for both onboarding and continuous learning. Provide clear, constructive, and actionable feedback to auditors to improve quality, productivity, and decision-making accuracy. Drive adoption and effective utilization of Cohere Validate, the internal audit support tool, while providing actionable feedback and enhancement recommendations to improve functionality and audit efficiency. Demonstrate flexibility in using integrated audit technologies, including Encoder, Grouper, and Pricer tools within the internal auditing platform. Stay ahead of industry trends, coding changes, and payment policy updates to maintain expert-level knowledge. Adhere to HIPAA and company policies to ensure data privacy, se

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